Development and implementation of technologies for physical telerehabilitation in Latin America:

La telerehabilitation ha surgido debido a la inclusión de tecnologías emergentes para la captura, transmisión, análisis y visualización de patrones de movimiento asociados a pacientes con trastornos músculo-esqueléticos. Esta estrategia permite llevar a cabo procesos de diagnóstico y tratamientos de rehabilitación a distancia. Este artículo presenta una revisión sistemática del desarrollo e implementación actual de las tecnologías de telerehabilitación en la región latinoamericana. El objetivo principal es explorar, a partir de la literatura científica reportada y fuentes divulgativas, si las tecnologías de telerehabilitación han logrado ser introducidas en esta región. Asimismo, este trabajo revela los prototipos actuales o sistemas que están en desarrollo o que ya están siendo usados. Se llevó a cabo una revisión sistemática, mediante dos búsquedas diferentes. La primera implicó una búsqueda bibliográfica rigurosa en los repositorios digitales científicos más relevantes en el área y la segunda incluyó proyectos y programas de telerehabilitación implementados en la región, encontrados a partir de una búsqueda avanzada en Google. Se encontró un total de 53 documentos de seis países (Colombia, Brasil, México, Ecuador, Chile y Argentina); la mayoría de ellos estaban enfocados en iniciativas académicas y de investigación para el desarrollo de prototipos tecnológicos para telerehabilitación de pacientes pediátricos y adultos mayores, afectados por deficiencias motoras o funcionales, parálisis cerebral, enfermedades neurocognitivas y accidente cerebrovascular. El análisis de estos documentos reveló la necesidad de un extenso enfoque integrado de salud y sistema social para aumentar la disponibilidad actual de iniciativas de telerehabilitación en la región latinoamericana.Telerehabilitation has arised by the inclusion of emerging technologies for capturing, transmitting, analyzing and visualizing movement patterns associated to musculoskeletal disorders. This therapeutic strategy enables to carry out diagnosis processes and provide rehabilitation treatments. This paper presents a systematic review of the current development and implementation of telerehabilitation technologies in Latin America. The main goal is to explore the scientific literature and dissemination sources to establish if such technologies have been introduced in this region. Likewise, this work highlights existing prototypes or systems that are to being used or that are still under development. A systematic search strategy was conducted by two different searches: the first one involves a rigorous literature search from the most relevant scientific digital repositories; the second one included telerehabilitation projects and programs retrieved by an advanced Google search. A total of 53 documents from six countries (Colombia, Brazil, Mexico, Ecuador, Chile and Argentina) were found. Most of them were focused on academic and research initiatives to develop in-home telerehabilitation technologies for pediatric and elderly populations affected by motor and functional impairment, cerebral palsy, neurocognitive disorders and stroke. The analysis of the findings revealed the need for a comprehensive approach that integrates health care and the social system to increase the current availability of telerehabilitation initiatives in Latin America

Incidencia de la emigración familiar en el ámbito escolar y emocional en los niños/as de las provincias de Imbabura y Carchi-Ecuador

El artículo analiza comparativamente la incidencia de la emigración de uno de los progenitores en las dinámicas familiares, concretamente en las relaciones con los hijos que se quedan en el país de origen; situación que se puede comparar con los niños/as que viven con sus padres. El análisis se realizó mediante un enfoque mixto, que pretende ofrecer unos resultados cuantitativos con variables cualitativas recopiladas en un cuestionario ad hoc, situación que contrasta con los ámbitos emocional y escolar de los niños/as con padres migrantes y no migrantes en las provincias de Imbabura y Carchi del Ecuador en el 2010. En esta investigación se encontró que la emigración influye en aspectos conductuales que llevan a modificar las relaciones de los niños/as con su entorno familiar y escolar

Dicyclopentadienyl zirconium and hafnium complexes with the bridged (dimethylsilanodiyl)dicyclopentadienyl [(SiMe2)(η5-C5H4)2]2 ligand. X-ray molecular structure of [Zr{(SiMe2)(η5-C5H4)2}(CH2Ph)]2(μ-O)

Reaction of the bridged (dimethylsilanediyl)dicyclopentadienyl dilithium salt [(SiMe2)(C5H4)2Li2] with MCl4, in toluene, gave the zirconium and hafnium complexes [M{(SiMe2)(η5-C5H4)2}Cl2] [M=Zr (1), Hf (2)]. Addition of two equivalents of M′R (M′=MgCl, R=CH3; M′=Li, R=CH2CMe2Ph; M′=MgBz, R=CH2Ph) to toluene or diethyl ether solutions of [M{(SiMe2)(η5-C5H4)2}Cl2] afforded the dialkyl derivatives [M{(SiMe2)(η5-C5H4)2}R2] [R=CH3, M=Zr (3), Hf (4); R=CH2CMe2Ph, M=Zr (5), Hf (6); R=CH2Ph, M=Zr (7)]. Compound 1 reacted with LiMe and Mg(CH2Ph)2(THF)2 in the presence of a stoichiometric amount of water to give the μ-oxo derivatives [Zr{(SiMe2)(η5-C5H4)2}R]2(μ-O) [R=CH3 (8), CH2Ph (9)]. The X-ray molecular structure of [Zr{(SiMe2)(η5-C5H4)2}(CH2Ph)]2(μ-O) (9) has been determined by diffraction methods. Its most remarkable feature is the planarity of the BzZrOZrBz and the linearity of the ZrOZr systems.We acknowledge the Dirección General de Investigación Científica y Técnica (Spain) for financial support of this research (Project PB97-0776)

Dicyclopentadienyl titanium and zirconium complexes with the double bridged bis(dimethylsilanodiyl) dicyclopentadienyl [(Me2Si)2(η5-C5 H3)2]2- ligand: X-ray molecular structure of [Ti{(SiMe2)2(η5-C5H3)2}Me2]

The reaction of the doubly bridged bis(1,1′,2,2′-dimethylsilanodiyl)-η5-dicyclopentadienyl titanium and zirconium complexes Full-size image (<1 K) with water gave the μ-oxo derivatives Full-size image (<1 K). Addition of one equivalent of M′R (M′ = MgCl, R = CH3, CH2SiMe3; M′ = Li, R = CH2CME2Ph) to toluene or diethyl ether solutions of Full-size image (<1 K) afforded the chloro alkyl derivatives [M{(SiMe2)2(η5-C5H3)2}CIR]Full-size image (<1 K). Compounds 3 and 4 reacted with [CPh3][B(C6F5)4] at −78°C in CD2Cl2 leading to the cationic species Full-size image (<1 K) as demonstrated by NMR spectroscopy. The titanium(III) and zirconium(III) serivatives [M{(SiMe2)2(η5-C5H3)2} (μ-Cl)2 (M = Ti (12), Zr (13)) were obtained by reduction of 1 amd 2 with one equivalent of sodium amalgam. The X-ray molecular structure of [Ti{(SiMe2)2(η5-C5H3)2}Me2] (3) has been determined by diffraction methods.Financial support for this research by DGICYT (Project PB92-0178-C) is gratefully acknowledged. A,M. is grateful to Consejeria Educación (CAM) for a fellowship

A causal effects of gut microbiota in the development of migraine

Background: The causal association between the gut microbiome and the development of migraine and its subtypes remains unclear. Methods: The single nucleotide polymorphisms concerning gut microbiome were retrieved from the gene-wide association study (GWAS) of the MiBioGen consortium. The summary statistics datasets of migraine, migraine with aura (MA), and migraine without aura (MO) were obtained from the GWAS meta-analysis of the International Headache Genetics Consortium (IHGC) and FinnGen consortium. Inverse variance weighting (IVW) was used as the primary method, complemented by sensitivity analyses for pleiotropy and increasing robustness. Results: In IHGC datasets, ten, five, and nine bacterial taxa were found to have a causal association with migraine, MA, and MO, respectively, (IVW, all P < 0.05). Genus.Coprococcus3 and genus.Anaerotruncus were validated in FinnGen datasets. Nine, twelve, and seven bacterial entities were identified for migraine, MA, and MO, respectively. The causal association still exists in family.Bifidobacteriaceae and order.Bifidobacteriales for migraine and MO after FDR correction. The heterogeneity and pleiotropy analyses confirmed the robustness of IVW results. Conclusion: Our study demonstrates that gut microbiomes may exert causal effects on migraine, MA, and MO. We provide novel evidence for the dysfunction of the gut-brain axis on migraine. Future study is required to verify the relationship between gut microbiome and the risk of migraine and its subtypes and illustrate the underlying mechanism between them

Silyl and siloxanediyl cyclopentadienyl titanium and zirconium complexes: synthesis and reactivity. X-ray molecular structure of [Zr{η5-C5H4SiMe2(μ-OH)}(μ-Cl)Cl2]2

Chloro(dimethyl)silyl-η5-cyclopentadienyl group 4 metal complexes of the type [M(η5-C5H4Cl)Cl3] (Full-size image (<1 K)) react with thallium salts Tl(C5H4R) (R = H, SiMe3) to give mixed dicyclopentadienyl derivatives [M(η5-C5H4R)(η5-C5H4SiMe2Cl)Cl2], (M = Ti, R = H 3, R = SiMe34; M = Zr, R = H 5, R = SiMe36) in high yield. Hydrolysis of complexes 3 and 4 affords the dinuclear complexes [Ti(η5-C5H4R)Cl2]2{μ-[(η5-C5H4SiMe2)2O]}] [R = H 7, R = SiMe38) containing a siloxanyl bridge, by elimination of two equivalents of HCl. Reactions of complexes 1 with hydroxo containing reagents such as anhydrous LiOH and SiPh2(OH)2 give the derivatives [Ti(η5-C5H4SiMe2Cl)Cl2]2(μ-O)], 9 and Ti[μ-(η5-C5H4SiMe2OSiPh2-η1-O)]Cl2, 10 identified by analytical, spectrometric and spectroscopic data. Treatment of analogous complex 2 with water produces the dimeric monocyclopentadienyl zirconium trichloride adduct [Zr(η5-C5H4SiMe2OH)Cl3]2, 11. Compound 11 has been characterized by X-ray crystallography.Universidad de AlcaláConsejería de Educación de la Comunidad de Madri

Neutral and cationic di(tert-butyl) cyclopentadienyl titanium, zirconium and hafnium complexes. Dynamic NMR study of the ligand-free cations [M(1,3-tBu2-η5-C5H3)(η5-f5H5)(CH3)]+(M=Zr, Hf)

Group 4 metal complexes containing the di(tert-butyl)cyclopentadienyl ligand (l,3-tBu2-r/5-CsH3) have been synthesized. The\ud reaction of a mixture of 1,3- and 1,4-di(tert-butyl)cyclopentadiene isomers with KH in THF at -78°C gives the salt K+[(1,3 -\ud tBu2CsH3)]-(THF)I_3 2 as a white solid. Treatment of 2 with chlorotrimethylsilane in a 1:1 molar ratio gives the air-stable\ud trimethylsilylcyclopentadienyl derivative Si(1,3-tBu2C5H3XCH3)3 3. The silyl derivative 3 is an excellent precursor for monocyclopentadienyl\ud trichlorotitanium and zirconium compounds M(1,3 -t Bu 2-r/5-C 5 H 3)C13 [M = Ti (4), Zr (5)]. Addition of a stoichiometric amount\ud of water in the presence of NEt 3 to a toluene solution of 4 affords the oxo trimer compound [Ti(1,3-tBu2-~75 - CsH3)CI( p,-O)] 3 6. The\ud reaction of 4 with 2 equiv, of LiMe affords the chloro dimethyl derivative Ti(1,3-tBu2-'r/5-CsH3)CI(CH3)2 7. The mixed dicyclopentadienyl\ud compounds M(1,3-tBu2-r/5-CsH3XCsHs)CI2 [M = Ti (8); Zr (9)] were prepared by reaction of complexes 4 and 5 respectively with\ud TI(CsHs). Treatment of complexes (8) and (9) with the appropriate alkylating reagent and molar ratio, in hexane at -78 °C, gives the\ud chloro alkyl derivatives M(1,3-tBu2-@-C5H3XCsHs)CIR [M = Ti, R = Me (10); M = Zr, R = Me (11), Bz (12)] or the dialkyl\ud complexes M(1,3-tBu2-@-CsH3)(CsHs)Rz [M = Ti, R = Me (13); M = Zr, R = Me (14), Bz (15), Nf (16)]. When 8 reacts with 2 equiv.\ud of MgBz2(THF) 2 or LiCH2CMe2Ph the metallacyclic complexes Ti(1-tBu-3-CMe2CH~-r/5-C~Ha)(CsHs)R [R = Bz (17); Nf (18)] were\ud isolated as red oils at room temperature, with the elimination of toluene or ten-butyl benzene respectively. The previously reported\ud cationic mono 1,3-di(tert-butyl)cyclopentadienyl dibenzyl zirconium species [Zr(1,3 -t Bu 2-'05-C 5 H 3 XCH 2 Ph) 2 ] + (19) can be stabilized\ud by reaction with tBuNC or PMe 3, in CD2C12 at -78°C, and the formation of the new cationic species [Zr(1,3-tBu2-r/5-\ud CsHa)(L)(CH2Ph)2] + [L=tBuNC (20); PMe 3 (21)] was identified by NMR spectroscopy. The reaction of B(CrFs) 3 with the\ud monocyclopentadienyl trimethyl derivatives M(1,3-tBu2-r/5-CsH3XCH3)3 [M = Ti (22), Zr (23)], in the presence of PMe 3, gives the\ud cationic species [M(I,3-tBu2-@-C~H3)(PMe3)2(CH3)2] + [M = Ti (24); Zr (25)], obtained as orange-yellow solids, stable at room\ud temperature. The reaction of B(C6Fs) 3 with the metallocene dimethyl derivatives M(1,3-tBu2-r/5-CsHa)(@-CsHs)(CH3)z [M = Zr (14);\ud Hf (26)], in a 1:1 molar ratio and in hydrocarbon solvents gives the cationic derivatives [M(1,3-tBu2-@-CsH3)(@ -\ud CsHsXCH3)]+[(CH3)B(CrFs)3] - [M = Zr (27); Hf (28)] as yellow oils which can be stored for weeks under an inert atmosphere. When\ud the same reactions of (14) and (26) with B(C6Fs) 3 are carried out in a 2:1 molar ratio at room temperature, the complexes\ud {[M(1,3-tBu2-@-CsH3X@-CsH5)Me]2(/.L-Me)}[MeB(C6Fs)3] [M =Zr (29), Hf (30)] can be obtained as a mixture of syn- and\ud anti-isomers as shown by NMR spectroscopic observations. The formation of (29) and (30) implies the stabilization of the 14-electron\ud cationic intermediate by interaction with one methyl group of the neutral complexes (14) and (26). Complexes (27) and (28) undergo\ud heterolytic dissociation of the Metal-MeB(C6Fs) 3 bonds, leading to the formation of the free [M(I,3-tBu2-r/5-CsH3)(r/5-CsHs)(CH3)] +\ud 14-electron species, verified by 1H DNMR spectroscopy. When compound (27) was heated at 50°C the metallacyclic cation\ud [Zr(1-tBu-3-CMezCH2-@-C5H3)(@-CsHs)] + (31) was formed. The alkyl derivatives synthesized and reported herein, activated with MAO, B(C6Fs) 3 or [Ph3C][B(C6Fs)4], polymerize ethylene with very low activity. The molecular structure of [Ti(1,3-tBu2-r/5-\ud C5H3)C1(/x-O)] 3 6 has been determined by X-ray diffraction methods.Financial support for this research by DGICYT (Project PB92-0178C) is gratefully acknowledged. J.I.A.\ud acknowledges Repsol Petróleo S.A. for a fellowship. A.M. is grateful to Consejeria Educaci6n (CAM) for a fellowship

Statistical analyses of correlation between fluconazole MICs for Candida spp. assessed by standard methods set forth by the European Committee on Antimicrobial Susceptibility Testing (E.Dis. 7.1) and CLSI (M27-A2).

The European Committee on Antimicrobial Susceptibility Testing (EUCAST) Subcommittee on Antifungal Susceptibility Testing recently published a standard for determining the susceptibility of fermentative yeasts to antifungals. From the beginning, the EUCAST and its North American counterpart, the CLSI, decided to work together in order to establish common standards. As part of this exercise, the susceptibility of a set of 475 yeast isolates was tested by both standards. The intraclass correlation coefficient and the equations defining the linear regression between both methods were estimated. Both methods produced very similar results, with an intraclass correlation coefficient of 0.954 (0.945 to 0.962), although linear regression analysis shows that the EUCAST standard resulted in slightly lower MICs. There were only eight isolates showing at least four twofold dilution MIC differences between both standards. After 24 h of incubation, the MICs obtained by the CLSI method were equivalent to those obtained by the EUCAST standard. In summary, both methods produce very similar MICs, indicating that methodology does not pose any obstacle to obtaining uniform standards for antifungal susceptibility testing of yeast

Synthesis and reactivity of new silyl substituted monocyclopentadienyl zirconium complexes. X-ray molecular structure of [Zr{η5-C5H4(SiMe2CH2Ph)}(CH2Ph)3]

Synthesis and reactivity of new silyl substituted monocyclopentadienyl zirconium complexes. X-ray molecular structure of [Zr{η5-C5H4(SiMe2CH2Ph)}(CH2Ph)3]We are grateful to the DGICYT (Project PB-92-0178-C) and University of Alcalá for the financial support of this research

Insertion of isocyanides into zirconium-alkyl bonds of di-ansa-zirconocene complexes. X-ray molecular structure of [Zr{(SiMe2)2(η5-C5H3))Cl(η2-C(i-Pr)N(2,6-Me2C6H3)}]

New dicyclopentadienyl iminoacyl zirconium complexes have been prepared and characterized by NMR spectroscopy. The reaction of [Zr{SiMe2)2(η5-C5H3)2)Me2] with CNR (R  2,6-Me2C6H3, t-Bu) yields [Zr((SiMe2)2(η5-C5H3)2Me(η2-CMeNR)] (R = 2,6-Me2C6H3, t-Bu), which reacts with a stoichiometric amount of water to give the μ-oxo dimers [Zr{(SiMe2)2(η5-C5H3)2}(η2-CMeNR)]2(μ-O) (R = 2,6-Me2C6H3, t-Bu). The chloro neophyl complex [Zr{(SiMe2)2(η5-C5H3)2}Cl(CH2CMe2Ph)] and other β-hydrogen containing zirconium chloro alkyls [Zr{(SiMe2)2(η5-C5H3)2}CIR] (R  Et, n-Pr, i-Pr)_ with CN(2,6-Me2C6H3) to yield the related chloro iminoacyl complexes [Zr{(SiMe2)2(η5-C5H3)2)Cl}η2-CRN(2,6-Me2C6H3)}] (R  Et, n-Pr, i-Pr), whereas no reaction was observed when CN(t-Bu) was used. All the new iminoacyl complexes were characterized by 1H and 13C NMR spectroscopy and the X-ray molecular structure of [Zr{(SiMe2)2(η5-C5H3)2)Cl{η2-C(i-Pr)N(2,6-Me2C6H3)}] studied by diffraction methods to prove the expected ‘inside’ coordination of the iminoacyl nitrogen atom.BID-CONICIT (Venezuela)Comunidad Autónoma de Madri